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UNOS plan reimagines governance of U.S. transplant system to best serve patients
Roadmap outlines how to create an independent OPTN Board in a move endorsed by Congress
UNOS applauds house action to improve air transport of donor organs
Floor vote establishes a work group to review whether organs transported via commercial flight could once again travel safely in a plane’s cabin
UNOS embraces reform of the U.S. donation and transplant system
Ahead of today’s U.S. Senate Committee on Finance hearing on the nation’s organ donation and transplant system, United Network for Organ Sharing (UNOS) reiterates its commitment to modernizing and reforming the nation’s organ donation and transplant system and working with Congress to achieve measurable results for patients.
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Kidney – Pancreas
Policy change impacting KPD eligibility coming Aug. 30
Changes to HLA and unacceptable antigen options will go into effect Aug. 30, as well as changes to the equivalences used for HLA matching and screening of unacceptable antigens between candidates and donors.
Implementation notice: Requirement for race-neutral eGFR formulas in effect
Transplant hospitals are able to take immediate action to benefit a select population of Black candidates impacted by race-inclusive eGFR calculations.
Updates to living donor exclusion criteria now in effect
Four exclusion criteria in OPTN Policy 14.4.E have been updated to align with current research and guidelines as well as ensure consistency throughout OPTN policy language.
Liver – Intestine
National Liver Review Board guidance documents updated
Updates made to pediatric and non-HCC adult exception guidance.
OPTN Board approves VCA transplant programs, liver allocation refinements, and strategic plan
New VCA specialties included in member directory.
Updated 12-month monitoring report available for National Liver Review Board
Report analyzes trends in the number and resolution of liver exception requests.
Heart – Lung
New lung data collection fields coming to support lung continuous distribution
Effective Nov. 8, two new lung data fields are being implemented in preparation for lung continuous distribution, which is to be released in January 2023.
Updates coming to adult heart status justification and extension forms
These updates will clarify the requirements of a candidate’s initial and extension status assignment in response to the heart transplant community’s questions.
Oct. 13 webinar to address lung continuous distribution policy implementation
The webinar will be recorded for future access.
VCA
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Improving the system together
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UNet
Site security administrator search feature now live
Report added to UNet Security Administration that allows site security administrators to search for other site security administrators.
VCA coming to UNet Sept 14, 2023
Allocation of all Vascularized Composite Allograft (VCA) organs that were originally scheduled to move into UNet in Spring 2023, will now implement on Sept. 14.
OPTN data collection changes coming Sept. 14
On Sept. 14, multiple updates will be made to UNet to implement approved OPTN Policy changes that affect OPTN data collection.
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
New and changed data collection on TIEDI coming Aug. 30
Several policy changes impacting TIEDI forms were approved by the Office of Management and Budget (OMB) in March 2022.
Updates to data submission policy coming Aug. 30
Effective Aug. 30, new requirements under revisions to OPTN Policy 18: Data Submission Requirements include a data lock provision to make changes to any of the eight TIEDI forms.
Policy change impacting KPD eligibility coming Aug. 30
Changes to HLA and unacceptable antigen options will go into effect Aug. 30, as well as changes to the equivalences used for HLA matching and screening of unacceptable antigens between candidates and donors.
Policy monitoring
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Learn: Collaborative improvement and educational resources
IN FOCUS
What is KDPI? A new animation for patients explains the kidney donor profile index
New animated video for patients and their caregivers explains the kidney donor profile index.
Collaboration
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Education
What is EPTS? A new animation for patients explains the estimated post-transplant survival score
New animated video for patients and their caregivers explains the estimated post-transplant survival score.
Animated videos describe lung allocation score, kidney allocation formulas
Resources are meant to inform transplant patients and their caregivers.
Effective practices
Learn about collaborative improvement projects
Learn about issues impacting patients, donors, donor families, and the national system. Issues and advocacy
Patient safety
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Transplant hospital
Patient Status Confirmation link available in UNet℠ beginning Oct. 3, closes Oct. 24
Transplant programs are asked to confirm or update patient status for selected patients.
Changes to HLA and unacceptable antigen options coming Aug. 30
Updates to HLA typing and unacceptable antigen reporting options and equivalencies will go into effect Aug. 30.
Waitlist enhancements and new kidney features coming
On Sept. 27, UNOS will launch the first in a series of enhancements to the visual design and workflows in Waitlist.
OPO
A message from Matt Cooper, M.D.: 2022 UNOS Member Survey
Member survey closes June 17
Now open: 2022 UNOS member survey
UNOS is offering members an opportunity to give valuable feedback to help shape the future of organ donation and transplant.
OUT tool now allows OPOs to see movement of organs across the country
Enhancements to OUT (Organ Utilization Tool) give insight into organ movement, timing of responses and use of provisional yes at each program.
Histocompatibility
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